Q: What type of implant do you prefer for breast enhancement?

Q: What is Endoscopic Breast Surgery?

Breast augmentation through the belly button is a possibility and it is something that I have been interested in for the last few years. To date, I have performed about 20 such cases. A saline implant is used and a special balloon dissector is passed up from the belly button under the breast.

There are only a few candidates for this surgery, however, as many patients these days seem to be quite slender and the implant has to be put partly underneath the muscle and you cannot use this technique to insert an implant under the muscle. In my opinion, it is an excellent technique for the right candidate and it is just one of the range of techniques that we use at the Double Bay Day Surgery. We use every implant inserted through every incision and we try to customise the result to satisfy patients' desires.

Before After

Having performed thousands of these operations over the last 20 years, I still find it a most fascinating operation and certainly one that brings much satisfaction to patients. One has to realise, however, that an implant does have a "use by" date and we cannot guarantee its long-term survival past ten years, although there are many patients who have had implants in-situ for 20-30 years.

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Q: Will my breast implant last forever?

A: Unfortunately, no breast implant will last forever. All implants will eventually fail and require replacement. This may take 5, 10 or even 20 to 30 years. We just don't know how long to project for each individual patient. My preference for saline implants is based on the assumption that if the implant fails, extrusion or removal of saline is innocuous compared with the possible problems associated with the extrusion of silicone gel.

Before After

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